Information Collection Request

Investigation-Based Crash Data Studies

ICR 202204-2127-002 · OMB 2127-0706 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form NHTSA Form 1278 SCI: Interview with Individuals Involved in Crashes Form New Repair queued
Form NHTSA Form 1278 CISS: Interviews with Individuals Involved in Crashes Form Modified Repair queued
USCODE-2013-title49-subtitleVI-partA-chap301-subchapV-sec30182 (2).pdf Supplementary Document Uploaded 2022-04-21 Repair queued
USCODE-2012-title23-chap4-sec403 (1).pdf Supplementary Document Uploaded 2022-04-21 Repair queued
New HIPAA-LETTER FEB 2013 (1).pdf Supplementary Document Uploaded 2022-04-21 Repair queued
Published 30-day notice 2127_0706.pdf Supplementary Document Uploaded 2022-04-21 Repair queued
PRA_ SS_PartB_Investigation-Based Crash Data Studies 4 5 2022 .docx Supporting Statement B Uploaded 2022-04-21 Repair queued
PRA_SS_PartA_Investigation-Based Crash Data Studies_2127-0706 4 21 2022 (003).docx Supporting Statement A Uploaded 2022-04-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
252901 Special Studies: Collection of Police Records Other-Non CFR and Instrument Explanation New
252900 SCI: Access to Tow Yards Other-Non CFR and Instrument Explanation New
252899 SCI: Collections of Medical Records Other-Non CFR and Instrument Explanation New
252898 SCI: Collecton of Police Records Other-Non CFR and Instrument Explanation New
252897 SCI: Interview with Individuals Involved in Crashes Form New
252879 CISS: Access to Tow Yards Other-Non CFR and Instrument Explanation New
252878 CISS: Collection of Medical Records Other-Non CFR and Instrument Explanation New
252877 CISS: Collection of Police Records from Non-sampled Jurisdictions Other-Non CFR and Instrument Explanation New
252876 CISS: Collection of Police Records from Sampled Jurisdictions Other-Non CFR and Instrument Explanation New
214797 CISS: Interviews with Individuals Involved in Crashes Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 04/30/2022
67,879 9,450
12,063 5,605
0 0





table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 67,879 9,450 0 47,010 11,419 0
Annual Time Burden (Hours) 12,063 5,605 0 5,107 1,351 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No